Individual
NATALIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 TIDEWATER DR, NORFOLK, VA 23509-1497
(757) 635-4244
(757) 271-0629
Mailing address
5621 TIDEWATER DR, NORFOLK, VA 23509-1497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001079
VA
Other
Enumeration date
12/21/2017
Last updated
11/17/2023
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